Sylvia Cardounell, MD
Internal Medicine · Tuba City
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Tuba City Regional Health Care Corporation · 160 clinicians in this group
Hospitals listed: 037290 · Tuba City Regional Health Care Corporation. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Cardounell’s office at (928) 283-2094 to ask if they take your plan before you enroll.
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 70.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Tuba City Regional Health Care CorporationTuba City, AZAcute Care Hospital · Voluntary non-profit - Other · No emergency department · Birthing-friendlyPatients rate it 3 of 5 · 65% would definitely recommend itNo overall ratingNo measure marked better or worse than the national rate
See every measure and the patient survey for Tuba City Regional Health Care Corporation
Behind the star rating — Deaths: 0 better, 2 the same, 0 worse of 2 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 1 better, 1 the same, 0 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.04 (0 to 2.12) · 70 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.93 (0.46 to 1.4) | No different | Jul 2022 – Jun 2024 |
| Death rate for pneumonia patientsComplications and deaths | 12.5 · 72 cases | None | Jul 2022 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.8 · 186 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.2 (0 to 0.44) · 800 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.27 (0.05 to 0.48) · 767 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.77 (1.21 to 6.34) · 151 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.66 (0 to 3.39) · 53 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.61 (0.9 to 4.33) · 144 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.33 (0 to 17.93) · 53 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.05 (0.79 to 9.32) · 37 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.47 (0 to 1.63) · 669 cases | No different | Jul 2022 – Jun 2024 |
| Clostridium Difficile (C.Diff)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -47.5 · 84 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.3 · 61 cases | None | Jul 2023 – Jun 2025 |
What patients said (215 patients answered, 17% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 73% |
| Nurses "always" communicated well | 76% |
| Doctors "always" communicated well | 78% |
| Staff "always" explained | 62% |
| Yes, staff "did" give patients this information | 84% |
| Yes, staff "did" give patients information about help after discharge | 80% |
| Doctors "always" explained things so they could understand | 75% |
| Doctors "always" listened carefully | 76% |
| Doctors "always" treated them with courtesy and respect | 84% |
| Patients who gave a rating of "9" or "10" (high) | 63% |
| Staff "always" explained new medications | 72% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 72% |
| Nurses "always" treated them with courtesy and respect | 84% |
| "Always" quiet at night | 51% |
| "YES", patients would definitely recommend the hospital | 65% |
| Staff "always" explained possible side effects | 52% |
| Yes, staff "did" give patients information about possible symptoms | 88% |
Original Medicare doctor bills
$28,042
Medicare paid this office $28,042 for 207 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 105 | $14,957 | $63 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 36 | $4,494 | $37 |
| Short return visit (20+ min) | 69 | $3,625 | $46 |
| Hospital discharge day management, 30 minutes or less | 43 | $2,660 | $59 |
| Short return visit | 14 | $376 | $25 |
Who their Medicare patients are
207 Original Medicare patients in 2024. Average age 74 · Under 65 11% · 85 and older 19% · Women 70% · Also on Medicaid 66% · Health risk score 1.96. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 64% · Chronic kidney disease 32% · Coronary heart disease 20% · Heart failure 19% · Depression 16% · Stroke 14% · Dementia 13% · Cancer 9% · Atrial fibrillation 9% · COPD 7%.
The office billed $77,865, Medicare allowed $39,329 and paid $28,042; for 524 services of 15 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 207 | 524 | 74 | 1.96 | $77,865 | $28,042 |
| 2023 | 164 | 393 | 75 | 1.89 | $41,665 | $21,990 |
| 2022 | 39 | 116 | 76 | 3.00 | $10,885 | $4,515 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 4 services
| Return visit (30+ min) | 91 | $11,802 | $72 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 40 | $4,999 | $38 |
| Short return visit (20+ min) | 39 | $2,239 | $50 |
| Hospital discharge day management, 30 minutes or less | 29 | $1,807 | $62 |
2022: 3 services
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 22 | $2,349 | $30 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 12 | $848 | $71 |
| Hospital discharge day management, 30 minutes or less | 11 | $551 | $50 |
Medicaid work
$1,630 in 2024
Medicaid paid $1,630 for 42 billed services this clinician did in 2024, up to 14 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Return visit (30+ min) | 42 | $1,630 |
| 2024 | 42 | 1 | 14 | $1,630 |
| 2023 | 46 | 1 | 17 | $959 |
| 2022 | 37 | 1 | 13 | $1,417 |
See the largest Medicaid services in earlier years
2023
| Return visit (30+ min) | 46 | $959 |
2022
| SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES | 37 | $1,417 |
Drugs they prescribed that Part D paid
$296,917
Pharmacies billed $296,917 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 1% of their Part D prescriptions (41 of 3,486) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.
2,696 generic and 656 brand-name prescriptions · $296,917 in drug cost · 67 antibiotic prescriptions to 35 people · 16 antipsychotic prescriptions to people over 65.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Ozempic | 75 | $73,682 | $982 |
| Jardiance | 58 | $36,005 | $621 |
| Rosuvastatin | 436 | $25,903 | $59 |
| Eliquis | 25 | $14,619 | $585 |
| Myrbetriq | 26 | $12,645 | $486 |
See all 61 drugs
| Ozempic | 75 | $73,682 | $982 |
| Jardiance | 58 | $36,005 | $621 |
| Rosuvastatin | 436 | $25,903 | $59 |
| Eliquis | 25 | $14,619 | $585 |
| Myrbetriq | 26 | $12,645 | $486 |
| Entresto | 13 | $9,177 | $706 |
| Lantus Solostar | 45 | $7,535 | $167 |
| Breztri Aerosphere | 11 | $6,955 | $632 |
| Alogliptin | 33 | $5,819 | $176 |
| Semglee (Yfgn) | 13 | $5,256 | $404 |
| Omeprazole | 55 | $3,815 | $69 |
| Novolog Flexpen | 23 | $3,734 | $162 |
| Lisinopril | 236 | $2,609 | $11 |
| Amlodipine Besylate | 221 | $2,356 | $11 |
| Ondansetron Odt | 13 | $2,018 | $155 |
| Famotidine | 21 | $2,016 | $96 |
| Donepezil | 12 | $1,892 | $158 |
| Alendronate | 59 | $1,886 | $32 |
| Levothyroxine | 132 | $1,815 | $14 |
| Metformin | 129 | $1,777 | $14 |
| Metformin Hcl Er | 130 | $1,646 | $13 |
| Gabapentin | 149 | $1,588 | $11 |
| Albuterol Sulfate Hfa | 42 | $1,556 | $37 |
| Fluticasone Propionate | 46 | $1,475 | $32 |
| Losartan | 158 | $1,274 | $8 |
| Calcium Acetate | 11 | $1,273 | $116 |
| Pioglitazone | 28 | $1,263 | $45 |
| Droplet Pen Needle | 34 | $1,244 | $37 |
| Pravastatin | 56 | $1,218 | $22 |
| Carvedilol | 64 | $1,190 | $19 |
| Sertraline | 12 | $806 | $67 |
| Glipizide Er | 38 | $776 | $20 |
| Metoprolol | 62 | $669 | $11 |
| Oxybutynin Chloride | 22 | $560 | $25 |
| Tamsulosin | 18 | $540 | $30 |
| Naltrexone | 15 | $490 | $33 |
| Ibuprofen | 19 | $476 | $25 |
| Synthroid | 28 | $460 | $16 |
| Alcohol Swabs | 74 | $439 | $6 |
| Diclofenac | 67 | $396 | $6 |
| Montelukast | 15 | $350 | $23 |
| Lactulose | 20 | $301 | $15 |
| Naproxen | 16 | $227 | $14 |
| Hydrocodone-Acetaminophen | 14 | $218 | $16 |
| Tramadol | 14 | $188 | $13 |
| Finasteride | 14 | $170 | $12 |
| Ciprofloxacin | 16 | $147 | $9 |
| Atenolol | 36 | $140 | $4 |
| Triamcinolone Acetonide | 20 | $140 | $7 |
| Allopurinol | 12 | $133 | $11 |
| Warfarin | 36 | $121 | $3 |
| M-Natal Plus | 18 | $104 | $6 |
| Pantoprazole | 21 | $88 | $4 |
| Prednisone | 20 | $87 | $4 |
| Atorvastatin | 13 | $74 | $6 |
| Hydrocortisone | 13 | $61 | $5 |
| Metoprolol | 16 | $59 | $4 |
| Lansoprazole | 11 | $28 | $3 |
| Escitalopram | 11 | $28 | $3 |
| Losartan-Hydrochlorothiazide | 11 | $22 | $2 |
| Hydrochlorothiazide | 12 | $14 | $1 |
Year by year
| 2024 | 3,486 | 222 | 1% (41) | 19% | $296,917 |
| 2023 | 912 | 137 | 3% (23) | 22% | $83,830 |
| 2022 | 29 | 14 | 0% (0) | 41% | $7,629 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 24 drugs
| Jardiance | 19 | $11,851 | $624 |
| Breztri Aerosphere | 12 | $8,046 | $670 |
| Lantus Solostar | 11 | $7,171 | $652 |
| Rosuvastatin | 57 | $4,124 | $72 |
| Atorvastatin | 45 | $2,243 | $50 |
| Droplet Pen Needle | 20 | $902 | $45 |
| Alendronate | 21 | $895 | $43 |
| Lisinopril | 78 | $837 | $11 |
| Albuterol Sulfate Hfa | 17 | $732 | $43 |
| Metformin | 31 | $716 | $23 |
| Metformin Hcl Er | 38 | $598 | $16 |
| Simvastatin | 14 | $584 | $42 |
| Synthroid | 26 | $528 | $20 |
| Omeprazole | 15 | $497 | $33 |
| Losartan | 27 | $362 | $13 |
| Levothyroxine | 33 | $315 | $10 |
| Gabapentin | 26 | $312 | $12 |
| Amlodipine Besylate | 32 | $232 | $7 |
| Tramadol | 12 | $187 | $16 |
| Diclofenac | 30 | $157 | $5 |
| Alcohol Swabs | 21 | $125 | $6 |
| Furosemide | 16 | $83 | $5 |
| Metoprolol | 12 | $76 | $6 |
| Warfarin | 19 | $48 | $3 |
Professional record
- NPI
- 1366902207
- Licence
- CA PTL4322
- Trained
- State University of Ny Upstate Medical University, 2019
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Internal medicine (207R00000X)
- Mailing address
- 1800 Stokes St Apt 64, San Jose, CA, 95126
- NPI first listed
- 2019-03-25
- NPI last updated
- 2021-11-26
- NPI record certified
- 2021-11-25
This is when the NPI record was last certified, not a medical board exam.